Jarell Myers, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY12545 Issued in FL

Practice address

1971 Longliner Loop
Wesley Chapel, FL 33543-7468

Phone

(202) 577-8123

Fax

(914) 668-2545

NPI assigned

Sep 5, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 30, 2020 through Oct 30, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ironwave Mind and Performance Lab, PLLC

  • Clinical Psychologist
  • Wesley Chapel, FL
  • NPI 1154250504
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1497004550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1971 LONGLINER LOOP",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335437468",
            "telephone_number": "202-577-8123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 LONGLINER LOOP",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335437468",
            "telephone_number": "202-577-8123",
            "fax_number": "914-668-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "JARELL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-05",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY12545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Mustafic
• My Buddy Home Companions Corp
• My Pharmacy Crystal River, LLC
• My Tampa Bay Pediatrics, P.a.
• Cameron Myers, MD
• Trinity Myers
• Myeyedr Optometry of Florida, LLC (MyEyeDr.)
• Myeyedr Optometry of Florida, LLC (MyEyeDr.)
• Mylife Diabetes
• Melissa Jeanne Myron

• Psychologist in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.